| NPI | 1861825135 |
|---|---|
| Former Name | KIMBERLY ROSE HORACEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111455) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F134833) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111455) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2023-07-17 |